Senior Manager of Claims Administration - State Program Administrator Manager Senior, St. Paul, Minnesota

Created 05/10/2024
Reference 11451034
Job type Full Time
Country United States
State Minnesota
City St. Paul
Zip 55102
Salary $25,000 - $49,999
The Minnesota Department of Employment and Economic Development (DEED) is the State of Minnesota's principal economic development agency. DEED's mission is simple: to empower the growth of the Minnesota economy, for everyone.

We are driven to find talented and innovative public servants, motivated by the opportunity to serve businesses, people, and the greater good. At DEED you will join a diverse team, inspired by challenging work and united by shared values that guide our work every day. At DEED we live our values by; focusing on the customer, communicating early and often, seeking solutions, creating inclusion, encouraging new ideas, and being gracious.

DEED is a Beyond the Yellow Ribbon agency and committed to proactively supporting service-members, veterans, and military families. DEED offers great employment opportunities with a meaningful mission to truly make a difference in the lives of those under our care and for those in communities throughout Minnesota.

Working Title: Senior Manager of Claims Administration
Job Class: State Program Administrator, Manager Senior
Agency: Department of Employment and Economic Development
  • Job ID: 76603
  • Location: St. Paul
  • Telework Eligible: Yes, May be eligible to telework up to four (4) days per week
  • Full/Part Time: Full-Time
  • Regular/Temporary: Unlimited
  • Who May Apply: This vacancy is open to all qualified job seekers
  • Date Posted: 05/10/2024
  • Closing Date: 05/31/2024
  • Hiring Agency/Seniority Unit: Employ & Econ Development Dept / Employ & Econ Dev -Managerial
  • Division/Unit: Paid Family & Medical Leave / PFML-Management
  • Work Shift/Work Hours: Day Shift- 8:00am to 4:30pm
  • Days of Work: Monday - Friday
  • Travel Required: No
  • Salary Range: $41.51 - $59.72 / hourly; $86,672 - $124,695 / annually
  • Classified Status: Classified
  • Bargaining Unit/Union: 220 - Manager/Unrepresented
  • FLSA Status: Exempt - Executive
  • Designated in Connect 700 Program for Applicants with Disabilities : Yes

The work you'll do is more than just a job.

At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.

Job Summary

Position Purpose:

The Senior Manager of Claims Administration plays a critical role in our organization by providing strategic leadership and oversight to adjudicate all submitted Paid Leave claim applications (140,000 claims expected annually). As the incumbent, you will be responsible for managing the day-to-day activities of the claims process, ensuring high-quality adjudication and optimizing team performance. Additionally, you'll lead employer support and exemptions, including executing grant payments. Reporting to the Chief Operating Officer, you're key to the overall success of our division.

About the Paid Leave Division:

Paid Leave is a new program launching in 2026. The program will provide partial wage replacement to Minnesota workers who are out of work due to a qualifying condition, such as a severe health condition that prevents them from working, or when they need time to care for a family member or a new child.

We are building a program that will be easy for every Minnesotan to use. We are engaging the people who depend on us-workers, employers, caregivers, and insurers-to learn from them and build the program around their needs. We are using modern service delivery and product practices to deliver the program.

The Paid Leave team has high standards and an unrelenting commitment to serving Minnesotans. It is a start-up environment without legacy systems or preconceived ways of working, so we have a unique opportunity to create human-centric processes and systems to deliver this new benefit to Minnesotans.

Key Responsibilities:
  • Process creation and organization development: We are a start-up within state government; you will play a key role in developing the organization, processes, and systems required to deliver the Paid Leave benefit to Minnesotans.
  • Claims Process Oversight: Oversee the end-to-end claims process, from submission to decision, ensuring efficiency and accuracy.
  • Team Management: Allocate workloads, manage queues, and provide leadership to a team of 40-60 employees, including supervisors, adjudicators, employer support, and grants administration.
  • Visibility and Continuous Improvement: Direct the development of operational dashboards to monitor performance and identify trends. Leverage claims data as a strategic asset, driving insights and improvements.
  • Employer Support: Provide support to employers via various channels to answer questions, address concerns, and assist in employer administration.
  • Grants Administration: Develop the process for tracking and paying grants awarded from the Paid Leave program.


If you're a leader passionate about process development, creating high-performing teams, continuous improvement, and making a difference in Minnesotan's lives, we want to hear from you!

Qualifications

Minimum Qualifications

To receive credit for your education and experience, your resume should clearly describe how you meet each minimum and/or preferred qualification listed, including dates of employment.

Four (4) years* of experience in a leadership position that supports claim administration or overseeing core transactional business processes, with at least two (2) of the required years in managing teams to meet the organization's productivity, quality, and goal accomplishment expectations.

*Bachelor's degree in Public Policy, Business, Insurance, or other closely related field as determined by the agency may substitute one (1) year of experience; master's degree substitutes for eighteen (18) months of experience.

Applicants that meet the above minimum qualification will be further evaluated on the following:

Experience designing new processes or improving existing processes

Experience establishing and maintaining effective communication and working relationships between diverse internal and external stakeholders

Ability to identify and solve root causes to eliminate reoccurring issues

Experience in coaching, mentoring, and developing staff while building relationships

Preferred Qualifications

Knowledge of claims management processes at scale

Demonstrated ability to measure and meet operational service level agreements

Experience partnering with Product Managers to translate your vision into functional and technical requirements

Ability to develop a measurement plan with clear metrics and dashboards to accurately depict the health of your business processes and direct your attention to top priorities

Ability to work in a start-up environment where roles will evolve over time based on the needs of the organization

Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experiences working effectively with others from different backgrounds and cultures

Additional Requirements

This position requires successful completion of the following:

Resumes of all applicants to this posting will be evaluated against the Minimum Qualifications stated above. If your skills match the required skills for this position, the department may contact you. Employee reference checks will be conducted on all finalists. This may include a review of documentation related to job performance and education. It includes contact with the applicant's current and/or former employers.

A Criminal Background Check will be conducted on all finalists for this position. A criminal conviction will not automatically remove you from consideration for employment.

When the position requires travel and the applicant drives a state owned or leased vehicle, a driver's license record check will be conducted.

Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).

Application Details

How to Apply

Select "Apply for Job" at the top of this page. If you have questions about applying for jobs, contact the job information line at 651-259-3637 or email careers@state.mn.us . For additional information about the application process, go to http://www.mn.gov/careers .

Contact

If you have questions about this position, contact Timothy High at timothy.high@state.mn.us

To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID#, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Talent Acquisition at talent.acquisition.deed@state.mn.us .

The Department of Employment and Economic Development is an equal opportunity, affirmative action, and veteran-friendly employer, and encourages all qualified candidates to apply for job opportunities. If you are an individual with a disability who needs assistance or cannot access the online job application and search tools, please contact Karen Lilledahl at Karen.Lilledahl@state.mn.us . Please indicate what assistance is needed.

Working together to improve the state we love.

What do Minnesota's State employees have in common?
  • A sense of purpose in their work
  • Connection with their coworkers and communities
  • Opportunities for personal and professional growth

Benefits

As an employee, you'll have access to one of the most affordable health insurance plans in Minnesota, along with other benefits to help you and your family be well.

Your benefits may include:
  • Paid vacation and sick leave
  • 12 paid holidays each year
  • Low-cost medical, dental, vision, and prescription drug plans
    • Fertility care, including IVF
    • Diabetes care
    • Dental and orthodontic care for adults and children
  • 6 weeks paid leave for parents of newborn or newly adopted children
  • Pension plan that provides income when you retire (after working at least three years)
  • Employer paid life insurance to provide support for your family in the event of death
  • Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury
  • Tax-free expense accounts for health, dental, and dependent care
  • Resources that provide support and promote physical, emotional, social, and financial well-being

Support to help you reach your career goals:
  • Training, classes, and professional development
  • Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov )

Employee Assistance Program (EAP) for work/life support:
  • A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well-being, or job performance
  • Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues
  • Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care


Programs, resources and benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota.

EQUAL OPPORTUNITY EMPLOYERS

Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S+ community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.

APPLICANTS WITH DISABILITIES

Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the job information line at 651-259-3637 or email careers@state.mn.us and let us know the support you need.
Employer Minnesota Department of Employment and Economic Development

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